Does endometriosis cause menstrual cramps?

Patient's question:

Doctor, I have been having my period since I was 13, and it has always been quite regular, but it's always accompanied by menstrual cramps. Since I am currently trying to conceive and preparing to have a child, I underwent a pre-pregnancy health check-up earlier. The results showed that there is evidence of endometriosis. Could you please tell me how to treat endometriosis-related menstrual cramps?

Doctor's answer:

This phenomenon is indicative of primary dysmenorrhea. Dysmenorrhea is primarily related to the excretion of prostaglandins in the body. If a pelvic ultrasound reveals endometriosis, surgical treatment may be necessary to address the areas where the endometrium has grown. Afterward, medication to regulate the menstrual cycle can be used before trying to conceive. During the preconception period, both partners should engage in outdoor exercise to prevent colds, and it is recommended to take 0.4 milligrams of folic acid tablets orally.

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